LIVING HOPE INTERNATIONAL MINISTRY, INC.
NEW BEGINNINGS HOME VOLUNTEER DATA FORM
To be considered for volunteer work at LHIM, the following information is required for our files. Please fill all answers completely. All information is kept confidential.

Personal Information: Ms. Miss Mrs. Dr. Rev. Rev. Dr. Title Last Name First Name Address  Address 2 City, State ZIP Code Phone E-Mail Age:       I am: Single Married Separated Divorced Widowed Do you have children currently living with you? Yes No Tell us your hobbies. Please list any health problems. Highest Level of Education Completed None High School or GED Trade/Vocational School Some College Associates Degree Bachelors Masters Degree Doctorate or higher I was referred to this program by  . Present Employer Reference Name of Employer Address     City, ST ZIP  Phone         Supervisor    Employer E-Mail    Employer Web: Personal Reference Name, Address and Phone of nearest relative not residing in same household (be sure to list how they are related to you): Church Affiliation and References What Church do you attend?  Are you a Member? Y N Pastor     Phone   Are you an active member? Yes, I am active      Not as active as I could be. How long have you been a Christian? Your Ministry Check the area of ministry to which you feel God has called you. Check all that apply. Teaching    Aides/Helpers      Administration       Serving       Giving                       Evangelism Other (please specify) Which age group would you prefer to work with? Please answer the following questions as thoroughly as possible. Please list the Christian activities in which you have been or are involved. Do you feel that a person that has been incarcerated can be rehabilitated? How do you view homosexuality? Additional comments: By clicking the SUBMIT button to submit my information, I certify that all the above answers are truthful to the best of my knowlege. I also agree that as a volunteer for New Beginnings Home, I will abide by the rules and regulations of Living Hope International Ministry, Inc. Further, I will abide by the following code of ethics: a) the same rules of conduct for staff applies to volunteers; b) I agree to keep confidential whatever personal information is voluntarily givent to me; c) I agree to NEVER offer legal advice; d) I agree to NEVER sign a legal document; e) I agree not to reveal or divulge my personal life; f)I will support the philosophy of Living Hope Ministry, Inc. - New Beginnings Home. I have read and agree to the above terms. (If this box is not checked, you will not be considered.)       Thank you for submitting your information. Your information WILL be kept confidential. You will be contacted within five business days.